Please fill out the following form to submit your appointment request – we look forward to seeing you in the office!

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First – thanks so much for wanting to join our growing family of patients. Know that by becoming a patient at DFHNY, you are taking the first step towards achieving your optimal oral health! We’re excited to get started, but we do have some procedural items to take care of beforehand. But don’t worry – it’s easy!

Getting Started:

We offer 3 options for filling out new patient paperwork:

  1. Print, Fill Out & Bring With You To Your First Appointment
  2. Print, Fill Out, Scan & Email To Us By Going Back To The “Schedule Appointment” Tab & uploading your filled out form – make sure you check the “New Patient” checkbox, then you’ll see where to upload your completed new patient form.
  3. Or, you can click here to submit a digital patient profile (FEATURE COMING SOON!)

Once you’ve filled out the new patient paperwork, you can click on the “Schedule Appointment” Tab and submit your appointment request – Once we receive that, we’ll do our best to get back to you as quickly as possible!